How do I find doctors that accept Aetna Health Insurance?
Aetna members, log in to find doctors, dentists, hospitals and other providers that accept your plan. For non-members, choose the type of plan you're interested in and search for health care providers that accept it.
What is Aetna Medicare PPO?
Aetna Medicare Plans (PPO) give you the flexibility to visit providers that are both in-network and out-of-network. Your out-of-pocket costs for receiving care are typically lower when you visit an in-network provider. Why choose an Aetna Medicare Advantage plan?
How many patients does Aetna have?
Aetna networks include close to 1.2 million health care professionals, over 700,000 primary care doctors and specialists and over 5,700 hospitals. 1 About eleven percent of all Medicare Advantage enrollees in 2020 are enrolled in an Aetna Medicare plan. This accounts for over 2.6 million Medicare Advantage plan beneficiaries. 2
How do I find a PCP for Aetna Medicare?
For questions about your Aetna Medicare Plan (HMO) (PPO) or if you need help selecting a PCP, call us toll-free at 1-800-282-5366 (TTY: 711), 7 days a week, 8 AM to 8 PM. You can also visit us at aetnamedicare.com. Other pharmacies, physicians and providers are available in our network.
How many doctors are in Aetna network?
Aetna networks include close to 1.2 million health care professionals, over 700,000 primary care doctors and specialists ...
How to speak to an Aetna agent?
Speak with a licensed insurance agent by calling. 1-877-890-1409. 1-877-890-1409 TTY users: 711 24 hours a day, 7 days a week.
Why choose an Aetna Medicare Advantage plan?
Each year , the Centers for Medicare and Medicaid Services (CMS) release Star Ratings that measure the performance of Medicare Advantage plans. 3
What is an HMO plan?
Aetna Medicare Prime Plan (HMO) Aetna Medicare SM Plan (PPO) Aetna Medicare Prime Plan (PPO) Each type of plan has different network rules. No matter which Aetna Medicare Advantage plan you choose, be sure to ask your doctor or health care provider if they accept the terms of your plan before seeking care.
How many people will be in Aetna in 2020?
About eleven percent of all Medicare Advantage enrollees in 2020 are enrolled in an Aetna Medicare plan. This accounts for over 2.6 million Medicare Advantage plan beneficiaries. 2
How to contact Medicare by phone?
For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048) , 24 hours a day/7 days a week or consult www.medicare.gov.
Does Aetna have a pharmacy network?
Aetna Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in applicable areas. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp .
What is primary care doctor?
Primary Care Doctors, also known as Primary Care Physicians (PCPs), are usually the first doctors patients visit, most often on an outpatient basis and in non-emergency situations. With specialized training in family medicine and general medicine, these doctors handle a variety of undiagnosed general health problems, keep medical histories and medical records for their patients and provide the essential function of referring their patients to specialists when they suffer illnesses that are limited to cause, diagnosis or organ. Their diagnostic techniques include patient interviews, physical exams, collecting thorough medical histories and examining current symptoms. Primary Care Doctors also will provide routine checkups, vaccines and boosters and annual wellness.
Is Vitals a medical website?
The Vitals website is provided for your informational use only. Nothing contained or offered by, on or through Vitals should be construed as medical advice or relied upon for medical diagnosis or treatment. Vitals does not recommend or endorse any particular healthcare provider whose information or ratings appear on this website. We encourage you to read our full Terms of Service.
How to contact Aetna Better Health of Louisiana?
If you wish to make a standing request to receive all materials in a language other than English or in an alternate format, you can call Aetna Better Health of Louisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week.
How to contact a pharmacy provider?
If you are looking for a specific provider and cannot find them online, need more information, help, or would like a printed copy of the provider directory mailed to you, call us at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. Visit Pharmacy Provider Search to view all your pharmacy providers.
What is Aetna insurance?
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices.
Is Aetna liable for the content of linked sites?
Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website.
Is Aetna Inc. responsible for the content of its websites?
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
Who is part of Aetna Medicare?
Aetna Medicare networks include doctors, pharmacies and other providers. Health care providers who could be part of an Aetna Medicare plan network include, but aren’t limited to:
How to speak to an Aetna agent?
To speak with one, call 1-800-891-6309, TTY: 711. They’re available 24 hours a day, 7 days a week.
What is Aetna Medicare Advantage?
Aetna Medicare Advantage plans provide coverage with a nationwide network of health care providers, hospitals and other facilities. The type of Aetna Medicare Advantage (Medicare Part C) plan you have determines which doctors and other medical providers are in your network.
What are the benefits of Aetna?
Some of the other extra benefits many Aetna Medicare Advantage plans may offer include: Vision and hearing benefits, including eye exams and an annual allowance for select products and services. Over-the-counter (OTC) benefits that give you an allowance for select items such as vitamins and cold medicine.
Does Aetna have a nationwide network?
Aetna Medicare Advantage plans feature nationwide networks. The type of Aetna Medicare Advantage plan you have will determine the rules and requirements regarding your in-network plan coverage. With an Aetna health maintenance organization (HMO) plan, you’re typically required to choose a primary care physician ...
Who is Caremark for Aetna?
Aetna has selected Caremark as the prescription management and mail delivery service for our members. If you do not intend to leave our site, close this message.
Does Aetna use InstaMed?
Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.
Does Aetna use Payer Express?
Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log-in may be different from your Aetna secure member site log-in.
How to contact Aetna Medicare?
For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711), Monday to Friday, 8 AM to 8 PM. You can also visit us on aetnamedicare.com.
How to get referral for Aetna?
If your HMO plan doesn’t require a referral, you should call us toll-free at 1-800-282-5366 (TTY: 711), 7 days a week, 8 AM to 8 PM before you get follow-up care at out-of-network facilities. You can also visit us at aetnamedicare.com.
What is Aetna accreditation?
Accreditation by the National Committee for Quality Assurance. Aetna is committed to accreditation by the National Committee for Quality Assurance (NCQA). It demonstrates our commitment to continuous quality improvement and meeting customer expectations.
How long is Aetna covered?
If you need emergency care, you’re covered 24 hours a day, 7 days a week, anywhere in the world. Whether you’re in or out of an Aetna Medicare service area, please follow these guidelines when you think you need emergency care: Call the local emergency hotline (for example, 911) or go to the nearest emergency facility.
What is a provider?
A provider, by entering a ZIP code, county or city. A provider’s name, facility, specialty or condition. A hospital or urgent care center. You may have to select a product or plan name to complete the search. Read More Read Less.
Does Medicare cover out of network providers?
If you get care from an out-of-network provider, your plan won’t cover their charges. Medicare and Aetna Medicare won’t be responsible either.
Does PCP cover follow up care?
Your PCP should coordinate all follow-up care. For HMO plans, we may cover follow-up care with out-of-network providers if you meet these two requirements:
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